Coronary Circulation and Temp Flashcards
Which usually supplies the posterior part of the heart, the RCA or LCA?
RCA
What is the arterial plexus that connects the epicardial coronary arteries to the subendocardial arterial plexus?
Myocardial cessel network
Which part of the coronary arteries is most susceptible to compression during systole?
The subendocardial arterial plexus
What general division of the coronary arteries are the most frequent site of MIs?
The subendocardial arterial plexus
What is Ohm’s law?
Flow = ΔP/R
Is ΔP between the coronary arteries and the aorta small or large during ventricular diastole?
Large
Is ΔP between the coronary arteries and the aorta small or large during ventricular systole? What causes this?
Small
caused by increase in coronary artery pressur
Is ΔP between the coronary arteries and the aorta small or large during ventricular ejection?
Small, but nonzero
The LV is maximally perfused during which part of the cardiac cycle?
Diastole
When is the ΔP between the aortic pressure and the at a minimum?
At the end of isovolumic contraction
The magnitude of ΔP is small or larger in the right ventricle compared to the left? What is the consequence of this?
Smaller, meaning that the right ventricle is better perfused
Which point on the cardiac cycle graph corresponds to the lowest level of flow?
The upper right, at the end of isovolumic contraction
What is the equation for tension on the walls of the heart?
T = Pressure x Radius
What happens in dilated cardiomyopathy to wall tension?
Increases at every pressure (d/t increased radius)
What is the equation for the resistance, relative to the radius?
R = r^-4
What is Poiseuille’s law?
R=8ℓƞ/πr4
What specific metabolite that increases in the heart due to increased work causes vasodilation?
Adenosine (from turnover of ATP)
What is the adrenergic receptor in the heart? What is the neurotransmitter that this responds to? What is the effect?
Beta 1
Norepi
Increaes HR
What are the two receptors in the coronary arteries that cause vasoconstriction and vasodilation?
Alpha 1 = vasoconstriction
Beta 1 = vasodilation
(***from book)